Barry S Pendergrass, DDS is a
Dentist - General Practice based in Centerville, Tennessee. Barry S Pendergrass is licensed to practice in Tennessee (license number DS6908) and his current practice location is
1824 Ray Morrison Dr, Centerville, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(931) 729-3356.
NPI number for Barry S Pendergrass is 1851474779 and his current mailing address is 1824 Ray Morrison Dr, Centerville, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851474779.
Healthcare Provider's Profile
| Full Name | Barry S Pendergrass |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 1824 Ray Morrison Dr, Centerville, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1851474779
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Barry S Pendergrass such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851474779 | NPI | - | NPPES |
| DS6908 | Other | TN | DENTAL LIC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | DS6908 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Barry S Pendergrass is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Barry S Pendergrass, DDS
1824 Ray Morrison Dr,
Centerville, TN 37033-3000
Ph: (931) 729-3356 | Barry S Pendergrass, DDS
1824 Ray Morrison Dr,
Centerville, TN 37033-3000
Ph: (931) 729-3356 |
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